HIV testing in the United States baseline report 2002-2006
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HIV testing in the United States baseline report 2002-2006

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      HIV continues to be a public health problem in the United States. The Centers for Disease Control and Prevention (CDC) estimated that over 48,600 new HIV infections occurred in 2006, with an overall incidence rate (cases per 100,000 population) of 19.8 among adults and adolescents in the United States. CDC is committed to reducing HIV infections and improving health by increasing access to HIV testing, so that people know their HIV status and get access to medical care and prevention services. The Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings (hereafter referred to as “CDC’s Revised Recommendations”), published in September 2006, promote HIV screening in health care settings among all persons aged 13-64 years. In addition, the Division of HIV/AIDS Prevention (DHAP) funded in 2007 a three-year program entitled, PS07-768: Expanded and Integrated Human Immunodeficiency Virus (HIV) Testing for Populations Disproportionately Affected by HIV, Primarily African Americans (hereafter referred to as “PS07-768”), to foster the adoption of CDC’s Revised Recommendations and to address the HIV epidemic among African Americans by increasing the number of persons who know their HIV status.

      The Assessment of HIV Testing in Clinical Settings (AHITS) project was designed to establish an HIV testing baseline in the United States, to develop an analysis plan for monitoring HIV testing trends in the future, and to assess programmatic activities supported by PS07-768 funded jurisdictions. This report presents the baseline estimates of the percentage of persons tested for HIV in the United States among adults, adolescents, and pregnant women by select characteristics from several data sources containing HIV testing information. In addition, an HIV surveillance baseline is included to help monitor the effects of the implementation of the CDC’s Revised Recommendations.

      Eleven data sources were selected for analysis: Behavioral Risk Factor Surveillance System (BRFSS), Survey of Americans on HIV/AIDS-Kaiser Family Foundation (KFF), General Social Survey (GSS), HIV Counseling and Testing (HIV CT) System, National Hospital Ambulatory Medical Care Survey (NHAMCS), National Health and Nutrition Examination Survey (NHANES), National Health Interview Survey (NHIS), National Survey of Family Growth (NSFG), Pregnancy Risk Assessment Monitoring System (PRAMS), Youth Behavior Risk Survey (YRBS), and HIV Surveillance System.

      The HIV Testing in the United States, 2002-2006 baseline report was developed as part of the Assessment of HIV Testing in Clinical Settings contract 200-2003-01926-0010 of the Program Evaluation Branch/ Division of HIV/AIDS Prevention/National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention/ Centers for Disease Control and Prevention.

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